Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
GOLD CREST RETIREMENT CENTER
GOLD CREST RETIREMENT CENTER is an Assisted Living Home in Nebraska
GOLD CREST RETIREMENT CENTER is an Assisted Living Home in Nebraska
GOLD CREST RETIREMENT CENTER
GOLD CREST RETIREMENT CENTER is an Assisted Living Home in Nebraska
GOLD CREST RETIREMENT CENTER is an Assisted Living Home in Nebraska
Gold Crest Retirement Center is a senior living community located in Adams, Nebraska. It offers a range of services including short-term rehabilitation, long-term care, memory care, assisted living, childcare, and therapy. The center is committed to providing a stable and caring environment for its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
35
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81.4%
Residents per day (avg)
37
Occupancy rate
81.4%
Residents per day (avg)
37
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
42% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
49% of new residents, often for short stays.
Typical stay
1 years
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Finances and operations
Voluntary non-profit home
Other
Home revenue
$6.1M
Surplus of revenue
$47.6K
Voluntary non-profit home
Other
Home revenue
$6,149,171.00
Surplus of revenue
$47,599.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.1M
35-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License Status
ActiveFacility Type
ASSISTED LIVING FACILITIES
Additional licensing details
License number:
ALF066
CMS Certification Number:
285065
County:
GAGE
Ownership & operating entity
GOLD CREST RETIREMENT CENTER is administrated by JENNIFER GRAFF, ADMINISTRATOR.
Owner name:
COFFMAN-LEVI CHARITABLE TRUST, INC
Care Services
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Contact Information
Fax:
(402) 988-2087
Amenities & Lifestyle
Programs & Activities
Specific Programs
Short Term Rehabilitation, Long Term Care, Memory Care, Assisted Living, Childcare, Therapy, Other Services
Volunteer Programs
Yes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Comparison Chart
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.Compare Assisted Living around Nebraska
GOLD CREST RETIREMENT CENTER
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68301
52
No
-
FRITZEN, JEFFREY
81.4%
$5,234,064.00
$3,077,291.00
58.8%
36.60
4/5
4.0934
4/5
4/5
4/5
-
Bailey Pointe Assisted Living at Plattsmouth
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Plattsmouth
45
Yes
43
WELL NEBRASKA TENANT LLC
-
-
-
-
-
-
-
-
-
-
-
Hemingford Care Center
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Hemingford
39
No
39
SENEX OF HEMINGFORD, LLC
51.8%
$1,800,182.00
$1,047,980.00
58.2%
25.60
2/5
5.2771
1/5
4/5
5/5
-
Beaver City Manor
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Beaver City
30
No
35
CITY OF BEAVER CITY
79.6%
$2,351,631.00
$1,344,084.00
57.2%
24.50
3/5
4.2020
3/5
3/5
2/5
-
Carl T Curtis Health Education Center Nursing Home
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Macy
-
No
12
-
-
-
-
-
21.20
5/5
6.8711
4/5
5/5
2/5
1
Places of interest near GOLD CREST RETIREMENT CENTER
0.0 miles from city center
ADAMS, NE 68301
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
106
Total Staff
74
Employees
32
Contractors
15,242
Total Hours (Quarter)
22
Avg Staff/Day
7.6
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 8.2 | No |
| Licensed Practical Nurse | 5 | 8.8 | Yes |
| Certified Nursing Assistant | 59 | 7.6 | Yes |
Staff by Category
Administration ⓘ
3 staff
7.4hs shift avg
Nursing Staff ⓘ
92 staff
7.8hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.6hs shift avg
Therapy Services ⓘ
2 staff
2.1hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
5 staff
7hs shift avg
Other Services ⓘ
2 staff
6.1hs shift avg
Contractor Analysis
15.3%
of total hours from contractors
2,338 contractor hours this quarter
Licensed Practical Nurse: 3
Certified Nursing Assistant: 26
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 33 | 26 | 59 | 6,420 | 91 | 100% | 7.6 |
| Medication Aide/Technician | 20 | 0 | 20 | 1,652 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 2 | 3 | 5 | 1,580 | 85 | 93% | 8.8 |
| Registered Nurse | 8 | 0 | 8 | 1,561 | 91 | 100% | 8.2 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,136 | 77 | 85% | 6.8 |
| Administrator | 2 | 0 | 2 | 968 | 65 | 71% | 7.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 573 | 65 | 71% | 6.1 |
| Dietitian | 1 | 0 | 1 | 469 | 60 | 66% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 451 | 59 | 65% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 369 | 49 | 54% | 7.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 44 | 27 | 30% | 1.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
Health Inspection History
Source: CMS Health Citations (May 2023 – Mar 2025)
4
Inspections
12
Total Citations
0
Critical (J-L)
0
Serious (G-I)
3
Citations/Inspection
Mar 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Resident Rights
3
25% of total
Infection Control
2
17% of total
Quality of Life & Care
2
17% of total
Abuse, Neglect & Exploitation
1
8% of total
Pharmacy Services
1
8% of total
Citation Sources
Standard Inspections
11
Complaint Investigations
1
State Comparison (NE)
Citations
12
State average: 18.2
Critical Citations
0
State average: 0.2
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Mar 12, 2025 | E | Infection Control | F0880 | Corrected |
| Mar 12, 2025 | E | Pharmacy | F0761 | Corrected |
| Mar 12, 2025 | E | Quality of Care | F0677 | Corrected |
| Apr 02, 2024 | D | Quality of Care | F0695 | Corrected |
| Apr 02, 2024 | D | Care Planning | F0641 | Corrected |
| Apr 02, 2024 | D | Care Planning | F0642 | Corrected |
| Apr 02, 2024 | E | Care Planning | F0657 | Corrected |
| Apr 02, 2024 | D | Resident Rights | F0580 | Corrected |
| Oct 23, 2023 | D | Abuse/Neglect | F0609 | Corrected |
| May 25, 2023 | E | Infection Control | F0880 | Corrected |
| May 25, 2023 | D | Resident Rights | F0580 | Corrected |
| May 25, 2023 | E | Resident Rights | F0623 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit - Other Nonprofit
Resident Census by Payment Source
41
Total Residents
Medicare
4
(9.8%)
ⓘ
Medicaid
18
(43.9%)
ⓘ
Private Pay/Other
19
(46.3%)
ⓘ
Specialized Care Beds
8
Total Specialty Beds
15.4%
of Bed Capacity
8
Alzheimer's / Dementia Beds ⓘ
15.4%
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
11.9
Score
5% worse than avg
Nebraska avg: 11.3
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
25.8
Score
10% worse than avg
Nebraska avg: 23.3
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
16.8%
Lost Too Much Weight
7.2%
Urinary Tract Infection
7.2%
Depressive Symptoms
5.4%
Falls with Major Injury
7.1%
Pneumococcal Vaccine
84.6%
Antipsychotic Use
25.7%
Walking Ability Worsened
25.3%
Influenza Vaccine
95.0%
High Risk Residents with Pressure Ulcers
3.2%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
35.1%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
74.6%
8% worse than avg
Nebraska: 80.7%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0%
100% better than avg
Nebraska: 2.4%
Financial Trends
Historical financial and operational data for GOLD CREST RETIREMENT CENTER based on CMS SNF Cost Reports.
Occupancy Rate
81.4%
↑ 8.5pp vs 2023
Net Income
$47,599
↓ ~$186K vs 2023
Total Payroll
$3,470,757
↑ ~$282K vs 2023
Profit Margin
0.9%
↓ 4.1pp vs 2023
Loading trend charts...
Guides for Better Senior Living
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Claim What’s Yours: Financial Aid for Nebraska Seniors
Program
State Program Name
Eligibility
Benefits
Aged and Disabled Waiver
Nebraska Medicaid A&D Waiver
Official government program page
- General: Age 65+ or disabled, Nebraska resident, Medicaid- eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $4,000 (individual, higher than most states).
- NE Specifics: Higher asset limit; rural access focus.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
Nebraska Respite Network
NE Respite Network
Official government program page
- General: Caregiver of someone 60+, Nebraska resident.
- Income Limits: No strict limit; prioritizes low-income.
- Asset Limits: Not applicable.
- NE Specifics: Lifespan respite focus; limited funding.
- Services: In-home respite (4-6 hours/day), adult day care (~$60/day), short-term facility care (up to 5 days).
Personal Assistance Services (PAS)
Nebraska Personal Assistance Services
Official government program page
- General: Age 19+ (65+ for seniors focus), Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).
- Income Limits (2025): ~$1,255/month (100% FPL, individual); spenddown allowed.
- Asset Limits: $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).
- NE Specifics: Family can be paid caregivers; statewide via DHHS.
- Services: Personal care (4-6 hours/day), limited homemaker services, respite (~200 hours/year).
Program of All-Inclusive Care for the Elderly (PACE)
Nebraska PACE (Immanuel Pathways)
Official government program page
- General: Age 55+, Nebraska resident (specific counties), NFLOC, safe with PACE support.
- Income Limits (2025): ~$2,829/month (Medicaid-eligible); private pay option available.
- Asset Limits: $4,000 (individual), $6,000 (couple).
- NE Specifics: Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.
- Services: Personal care (5-7 hours/day), medical care, meals, transportation, respite, therapies.
Medicare Savings Program (MSP)
Nebraska Medicare Savings Program
- General: Age 65+ or disabled, Nebraska resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- NE Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Senior Community Service Employment Program (SCSEP)
Nebraska SCSEP
Official government program page
- General: Age 55+, unemployed, low-income, Nebraska resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- NE Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Nebraska VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, Nebraska resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth limit).
- NE Specifics: High veteran demand in rural areas.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Claim What’s Yours Financial Aid for Nebraska Seniors
Nebraska Medicaid A&D Waiver
Aged and Disabled Waiver
Requirements:
General:Age 65+ or disabled, Nebraska resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025):~$2,829/month (300% FBR, individual).- Asset Limits:$4,000 (individual, higher than most states).
NE Specifics:Higher asset limit; rural access focus.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
NE Respite Network
Nebraska Respite Network
Requirements:
- General:Caregiver of someone 60+, Nebraska resident.
- Income Limits:No strict limit; prioritizes low-income.
- Asset Limits:Not applicable.
- NE Specifics:Lifespan respite focus; limited funding.
Benefits without Contact:
- Services: In-home respite (4-6 hours/day), adult day care (~$60/day), short-term facility care (up to 5 days).
Nebraska Personal Assistance Services
Personal Assistance Services (PAS)
Requirements:
- General:Age 19+ (65+ for seniors focus), Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).
- Income Limits (2025):~$1,255/month (100% FPL, individual); spenddown allowed.
- Asset Limits:$4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).
- NE Specifics:Family can be paid caregivers; statewide via DHHS.
Benefits without Contact:
- Services: Personal care (4-6 hours/day), limited homemaker services, respite (~200 hours/year).
Nebraska PACE (Immanuel Pathways)
Program of All-Inclusive Care for the Elderly (PACE)
Requirements:
- General:Age 55+, Nebraska resident (specific counties), NFLOC, safe with PACE support.
- Income Limits (2025):~$2,829/month (Medicaid-eligible); private pay option available.
- Asset Limits:$4,000 (individual), $6,000 (couple).
- NE Specifics:Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), medical care, meals, transportation, respite, therapies.
Nebraska Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, Nebraska resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- NE Specifics:Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Nebraska SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, Nebraska resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified; income-focused.
- NE Specifics:Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Nebraska VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, Nebraska resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (net worth limit).
- NE Specifics:High veteran demand in rural areas.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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